Organization
TWO LEAVES MIDWIFERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH ELLSWORTH STIKA LDEM, CPM (MIDWIFE)
(801) 473-2527
Entity
Organization
Contact information
Practice address
365 N 900 W, PROVO, UT 84601-2556
(801) 473-2527
Mailing address
365 N 900 W, PROVO, UT 84601-2556
(801) 473-2527
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
9514053-3400
UT
Other
Enumeration date
12/04/2015
Last updated
12/04/2015
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